Organization
GENTLE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOYLE D. GUSTAFSON D.D.S. (PRESIDENT)
(402) 391-1047
Entity
Organization
Contact information
Practice address
10730 PACIFIC ST, SUITE 105, OMAHA, NE 68114
(402) 391-1047
(402) 391-0309
Mailing address
10730 PACIFIC ST, SUITE 105, OMAHA, NE 68114
(402) 391-1047
(402) 391-0309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3092
NE
Other
Enumeration date
01/17/2007
Last updated
09/19/2008
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